| NPI | 1073199428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKISHA HARRIS Hairloss Practitioner 512-789-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-09-07 |